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c/retatrutide·posted 2 years ago by u/endotoxin_ellie

5 months in and dose escalation is still the thing I get wrong

Caution Clean Column ×2

phase 2. That is the whole post, but I will justify it.

Everything else people worry about in c/glp1women is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort phase 2 out first, and almost nobody does.

I say this having got it wrong for 12 months. My hs-CRP was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

694 up / 159 down81% upvoted25 commentsid 1c5ra412 Sep 2023

25 comments

20 in this archive, depth 5

best — the order this archive was captured in

u/employer_carveout39 points·2 years ago

The heart rate signal in TRIUMPH is real and concerning. Higher doses had higher mean HR changes.

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u/ewan_marchand-19 points·2 years ago

phase 2 numbers are not maintenance numbers, cite the trial

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u/trialwatch_theotrial nerd33 points·2 years ago

Crossposting this to c/bloodwork because the people who need it are not reading this community.

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[deleted]14 points·2 years ago

[deleted]

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u/farid_molnar17 points·2 years ago

triple agonism plus glucagon is a different physiological state than GIP/GLP-1 dual

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u/two_mil_or_one12 points·2 years ago

Small correction: the trial was 23 weeks, not 11. Does not change your point but people will quote it.

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u/blunt_coldbox_20248 points·2 years ago

Yeah, phase 2 retatrutide is interesting but it is not comparable to phase 3 compounds.

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u/divya_bakken18 points·2 years ago

Yeah, phase 2 retatrutide is interesting but it is not comparable to phase 3 compounds.

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u/cormac_roos8 points·2 years ago

Yeah, phase 2 retatrutide is interesting but it is not comparable to phase 3 compounds.

Adding to this: TRIUMPH is doing more work than the comment implies.

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u/endotoxin_ellieOPmicro6 points·2 years ago

The heart rate signal in TRIUMPH is real and concerning. Higher doses had higher mean HR changes.

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u/trialwatch_theoMOD8 points·2 years ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/zeynep_mbeki4 points·2 years ago

That is net peptide content, not purity. Different number, different meaning.

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u/kofi_balogun3 points·2 years ago

the dosing is steep, the sulphur burps reports are real, and nobody knows the human safety yet

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u/endotoxin_ellieOPmicro1 point·2 years ago

TRIUMPH phase 2 showed 99.3% weight loss but the muscle cramps profile on the highest arm was rough. Phase 2 != phase 3.

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u/titration_marshalmod · c/semaglutide14 points·2 years ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/source_or_silence4 points·2 years ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/nabila_bakken3 points·2 years ago

the glucagon component changes the side effect profile, not just the efficacy

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u/farid_molnar2 points·2 years ago·edited

the 12.5mg arm is different from 15mg, results do not transfer

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u/endotoxin_ellieOPmicro1 point·2 years ago

heart rate and dose escalation need actual measurements, not impressions

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u/yannick_barros8 points·2 years ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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About c/retatrutide

Retatrutide: GIP/GLP-1/glucagon triple agonism, the TRIUMPH programme, and the fact that most people discussing it are handling research-grade material with no human-use approval anywhere. Dose-response, heart-rate signal, and the unusually steep phase-2 weight curves get argued about here weekly.

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c/retatrutide rules
  1. Retatrutide is not approved anywhere for human use. Posts must not read as usage instructions.
  2. Phase 2 numbers are not maintenance numbers. Cite the trial and the dose arm.
  3. Heart-rate and dose-escalation reports need actual measurements, not impressions.
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